Concurrent Killian-Jamieson and Zenker's Diverticula

Area of Science:

• Gastroenterology
• Otolaryngology
• Surgical Anatomy

Background:

• Pharyngoesophageal diverticula are uncommon sources of dysphagia, with Zenker's diverticulum being the most prevalent type.
• Killian-Jamieson diverticulum is another recognized, though less common, form of pharyngoesophageal outpouching.

Observation:

• A 44-year-old male presented with chronic dysphagia and globus sensation.
• Diagnostic imaging (CT) and esophagogastroscopy confirmed the presence of bilateral pharyngoesophageal diverticula.
• Surgical exploration revealed a right Killian-Jamieson diverticulum and a left Zenker's diverticulum.

Findings:

• The case demonstrates a rare instance of coexisting Zenker's and Killian-Jamieson diverticula.
• Surgical management involved transcervical resection of the diverticula.
• The left diverticulum originated superior to the cricopharyngeus muscle, consistent with Zenker's diverticulum.

Implications:

• Bilateral pharyngoesophageal diverticula are exceptionally rare and require careful diagnostic consideration.
• Physicians must recognize the diverse clinical manifestations associated with these conditions.
• Awareness of varied presentations is crucial for appropriate management of pharyngoesophageal diverticula.